CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:B7 homolog 3 in pancreatic cancer.
B7 homolog 3 in pancreatic cancer.
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尽管癌症治疗取得了进展,胰腺癌(PC)仍然是一种死亡率高、生存结局差的疾病。B7同源体3(B7-H3)检查点分子在包括PC在内的多种恶性肿瘤中过表达,而在健康组织中表达较低或缺失。通过调节多种免疫和非免疫分子机制,B7-H3可能影响PC的进展。
然而,B7-H3对PC患者生存的影响仍存在争议。尽管如此,大多数现有科学数据认为该分子是PC中抗肿瘤免疫的抑制因子。此外,已证明B7-H3可刺激PC细胞的迁移、侵袭和转移,并增强对化疗的耐药性。在PC的临床前模型中,靶向B7-H3的单克隆抗体通过增强NK 细胞介导的抗体依赖性细胞毒性以及将放射性同位素和细胞毒性药物递送至肿瘤部位,发挥了显著的抗肿瘤作用。
最后,使用靶向B7-H3的抗体药物偶联物和CAR-T 细胞治疗PC正在临床研究中进行测试。本综述在B7-H3背景下对 all PC相关研究进行了全面分析,并指出了当前数据中的不足,这些不足应通过未来研究加以克服。
Despite advances in cancer treatment, pancreatic cancer (PC) remains a disease with high mortality rates and poor survival outcomes. The B7 homolog 3 (B7-H3) checkpoint molecule is overexpressed among many malignant tumors, including PC, with low or absent expression in healthy tissues. By modulating various immunological and nonimmunological molecular mechanisms, B7-H3 may influence the progression of PC.
However, the impact of B7-H3 on the survival of patients with PC remains a subject of debate. Still, most available scientific data recognize this molecule as a suppressive factor to antitumor immunity in PC.
Furthermore, it has been demonstrated that B7-H3 stimulates the migration, invasion, and metastasis of PC cells, and enhances resistance to chemotherapy. In preclinical models of PC, B7-H3-targeting monoclonal antibodies have exerted profound antitumor effects by increasing natural killer cell-mediated antibody-dependent cellular cytotoxicity and delivering radioisotopes and cytotoxic drugs to the tumor site.
Finally, PC treatment with B7-H3-targeting antibody-drug conjugates and chimeric antigen receptor T cells is being tested in clinical studies. This review provides a comprehensive analysis of all PC-related studies in the context of B7-H3 and points to deficiencies in the current data that should be overcome by future research.
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